NBRST: Prospective Neo-adjuvant REGISTRY Trial

NCT ID: NCT01479101

Last Updated: 2021-01-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1142 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-07-31

Study Completion Date

2021-01-31

Brief Summary

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The scope of this registry study is to measure chemosensitivity as defined by pCR (primary endpoint), or endocrine sensitivity as defined by partial response (decrease in longest tumor diameter or residual cancer burden category 1 (RCB1), a primary endpoint for neo-adjuvant endocrine therapy and a secondary endpoint for neoadjuvant chemotherapy), metastasis-free survival and relapse-free survival(secondary endpoints) in molecular subgroups, determined by the established MammaPrint, BluePrint, Targetprint and Theraprint profiles in addition to possible novel expression profiles.

Detailed Description

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This will be a prospective observational, case-only study linking MammaPrint, BluePrint, TargetPrint, TheraPrint and possible additional profiles of interest to treatment response and Distant Metastases Free Survival (DMFS) and Relapse Free Survival (RFS). Only patients who receive neo-adjuvant therapy can participate.

For this project, approximately 50-70 institutions in the US will be invited to contribute clinical patient data from enrolled patients after a MammaPrint, TargetPrint, BluePrint and TheraPrint test has been successfully performed and the patient has started neo-adjuvant therapy.

Treatment is at the discretion of the physician, adhering to NCCN approved regimens or a recognized alternative.

The clinical data is to be entered online at 4 time points; amounting to four Case Report Forms (CRFs). Data will be collected on an ongoing basis, the first CRF must be completed within 6 weeks after the MammaPrint, BluePrint, TargetPrint, and TheraPrint result was provided. The second CRF should be completed 4 weeks after definitive surgery. CRF 3 and CRF4 will be completed 2-3 and 5 years after surgery.

It is expected that we will enroll around 1000 patients in 4 years.

OBJECTIVES

* Measure chemosensitivity (as defined by pCR) or endocrine sensitivity (as defined by decrease in longest tumor diameter or RCB1)in the molecular subgroups as determined by combining MammaPrint and BluePrint results.
* Correlate chemosensitivity (as defined by pCR) to TheraPrint Therapy Gene Assay results.
* Compare local IHC and FISH results (if available) with TargetPrint results. Compare the three BluePrint molecular subgroups with IHC-based subtype classification.
* Document impact of MammaPrint, TargetPrint and BluePrint result on treatment decision.
* Assess the 2-3 and 5 years DMFS and RFS for the different molecular subgroups.
* Measure chemosensitivity or endocrine sensitivity correlation with novel expression profiles.

Conditions

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Breast Cancer

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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MammaPrint, BluePrint, neo-adj CT or HT

All patients receive the MammaPrint and BluePrint gene expression profile. Treatment at the discretion of the physician while adhering to NCCN guidelines.

MammaPrint 70-gene expression profile

Intervention Type OTHER

BluePrint 80 gene expression profile

Intervention Type OTHER

Interventions

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MammaPrint 70-gene expression profile

Intervention Type OTHER

BluePrint 80 gene expression profile

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Women with histologically proven breast cancer, who have started or are scheduled to start neo-adjuvant chemotherapy therapy or neo-adjuvant hormone therapy, after successful MammaPrint assay
* Age 18-90
* Written informed consent

Exclusion Criteria

* Patients who have had excisional biopsy or axillary dissection Patients with confirmed distant metastatic disease
* Tumor sample shipped to Agendia with ≤ 30% tumor cells or that fails QA or QC criteria
* Patients who have had any prior chemotherapy, radiotherapy, or endocrine therapy for the treatment of breast cancer
* Any serious uncontrolled intercurrent infections, or other serious uncontrolled concomitant disease
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Agendia

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pat Whitworth, MD

Role: PRINCIPAL_INVESTIGATOR

Nashville Breast Center

Stephanie Akbari, MD

Role: PRINCIPAL_INVESTIGATOR

Reinsch Pierce Family Center for Breast Health

Mark Gittleman, MD

Role: PRINCIPAL_INVESTIGATOR

Breast Care Specialists

Peter Beitsch, MD

Role: PRINCIPAL_INVESTIGATOR

Dallas Surgical Group

Locations

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Arizona Center for Cancer Care

Glendale, Arizona, United States

Site Status

21 Century Oncology

Scottsdale, Arizona, United States

Site Status

Alta Bates Summit Comprehensive Cancer Center

Berkeley, California, United States

Site Status

Fresno Breast Surgery

Fresno, California, United States

Site Status

BreastLink

Long Beach, California, United States

Site Status

Long Beach Memorial Medical Center

Long Beach, California, United States

Site Status

Community Hospital of Monterey Peninsula

Monterey, California, United States

Site Status

Alta Bates

Oakland, California, United States

Site Status

Comprehensive Cancer Center - Palm Springs

Palm Springs, California, United States

Site Status

Sutter Roseville Medical Center

Roseville, California, United States

Site Status

SHARP Memorial

San Diego, California, United States

Site Status

Redwood Regional

Santa Rosa, California, United States

Site Status

Wellness Oncology Hematology

West Hills, California, United States

Site Status

Wellness Oncology Hematology

West Hills, California, United States

Site Status

Exempla Health St Joseph

Denver, Colorado, United States

Site Status

Greenwich Hospital

Greenwich, Connecticut, United States

Site Status

Stamford Hospital

Stamford, Connecticut, United States

Site Status

Halifax Health Center for Oncology

Daytona Beach, Florida, United States

Site Status

Florida Hospital Memorial Medical Center

Daytona Beach, Florida, United States

Site Status

21st Century Oncology

Fort Myers, Florida, United States

Site Status

St. Vincent Healthcare

Jacksonville, Florida, United States

Site Status

The Breast Institute at JFK Medical Center

Lake Worth, Florida, United States

Site Status

Baptist Health South Florida

Miami, Florida, United States

Site Status

Lakes Research

Miami Lakes, Florida, United States

Site Status

Dekalb Medical

Decatur, Georgia, United States

Site Status

Northeast Georgia Medical Center

Gainesville, Georgia, United States

Site Status

Center for Breast Care

Savannah, Georgia, United States

Site Status

Advanced Breast Care Specialists

Bloomingdale, Illinois, United States

Site Status

University Surgical Consultants

Elk Grove Village, Illinois, United States

Site Status

Advocate Lutheran General Hospital

Park Ridge, Illinois, United States

Site Status

Hematology/Oncology of The North Shore

Skokie, Illinois, United States

Site Status

Evansville Surgical Associates

Evansville, Indiana, United States

Site Status

Northern Indiana Cancer Research

South Bend, Indiana, United States

Site Status

Willis-Knighton Cancer Center

Shreveport, Louisiana, United States

Site Status

Signature Breast Care

Lanham, Maryland, United States

Site Status

McLaren Health Care

Burton, Michigan, United States

Site Status

Great Lakes Cancer Management Specialists

Grosse Pointe Woods, Michigan, United States

Site Status

Providence Cancer Institute

Southfield, Michigan, United States

Site Status

St Lukes Cancer Center

Kansas City, Missouri, United States

Site Status

Christian Hospital

St Louis, Missouri, United States

Site Status

University of Nebraska

Omaha, Nebraska, United States

Site Status

Compehensive Cancer Care of Nevada

Las Vegas, Nevada, United States

Site Status

Virtua Health

Willingboro, New Jersey, United States

Site Status

Ashikari Breast Center

Cortlandt Manor, New York, United States

Site Status

Hematology Oncology Associates of Central New York

East Syracuse, New York, United States

Site Status

Theresa & Eugene M. Lang Research Center

Flushing, New York, United States

Site Status

Akron General Hospital

Akron, Ohio, United States

Site Status

University of Toledo

Toledo, Ohio, United States

Site Status

University of Oklahoma

Oklahoma City, Oklahoma, United States

Site Status

Breast Care Specialists

Allentown, Pennsylvania, United States

Site Status

ACMH Cancer Center

Kittanning, Pennsylvania, United States

Site Status

St. Mary Medical Center

Langhorne, Pennsylvania, United States

Site Status

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

St. Clair Hospital

Pittsburgh, Pennsylvania, United States

Site Status

The Breast Place

Charleston, South Carolina, United States

Site Status

Cancer Specialists of Charleston

Charleston, South Carolina, United States

Site Status

Coastal Carolina Breast Center

Murrells Inlet, South Carolina, United States

Site Status

Nashville Breast Center

Nashville, Tennessee, United States

Site Status

Texas Tech University

Amarillo, Texas, United States

Site Status

Austin Cancer Center

Austin, Texas, United States

Site Status

Dallas Surgical Group

Dallas, Texas, United States

Site Status

Texas Health

Dallas, Texas, United States

Site Status

McAllen Oncology

Edinburg, Texas, United States

Site Status

East Houston General Surgery

Houston, Texas, United States

Site Status

Kathryn A. Wagner Private Practice

San Antonio, Texas, United States

Site Status

Radiation Oncology of San Antonio

San Antonio, Texas, United States

Site Status

Virginia Breast Care

Charlottesville, Virginia, United States

Site Status

Rockingham Memorial Hospital

Harrisonburg, Virginia, United States

Site Status

Lynchburg Hematology Oncology Clinic

Lynchburg, Virginia, United States

Site Status

Bon Secours Virginia Breast Center

Midlothian, Virginia, United States

Site Status

Swedish Cancer Institute

Seattle, Washington, United States

Site Status

Rockwood Clinic

Spokane, Washington, United States

Site Status

Bellin Hospital

Green Bay, Wisconsin, United States

Site Status

Columbia St. Marys Cancer Center

Milwaukee, Wisconsin, United States

Site Status

Waukesha Memorial Hospital

Waukesha, Wisconsin, United States

Site Status

Wheaton Franciscan Healthcare

Wauwatosa, Wisconsin, United States

Site Status

Countries

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United States

References

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Whitworth PW, Beitsch PD, Murray MK, Richards PD, Mislowsky A, Dul CL, Pellicane JV, Baron PL, Rahman RL, Lee LA, Dupree BB, Kelemen PR, Ashikari AY, Budway RJ, Lopez-Penalver C, Dooley W, Wang S, Dauer P, Menicucci AR, Yoder EB, Finn C, Blumencranz LE, Audeh W. Genomic Classification of HER2-Positive Patients With 80-Gene and 70-Gene Signatures Identifies Diversity in Clinical Outcomes With HER2-Targeted Neoadjuvant Therapy. JCO Precis Oncol. 2022 Sep;6:e2200197. doi: 10.1200/PO.22.00197.

Reference Type DERIVED
PMID: 36108259 (View on PubMed)

Whitworth PW, Beitsch PD, Pellicane JV, Baron PL, Lee LA, Dul CL, Murray MK, Gittleman MA, Budway RJ, Rahman RL, Kelemen PR, Dooley WC, Rock DT, Cowan KH, Lesnikoski BA, Barone JL, Ashikari AY, Dupree BB, Wang S, Menicucci AR, Yoder EB, Finn C, Corcoran K, Blumencranz LE, Audeh W; NBRST Investigators Group. Distinct Neoadjuvant Chemotherapy Response and 5-Year Outcome in Patients With Estrogen Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative Breast Tumors That Reclassify as Basal-Type by the 80-Gene Signature. JCO Precis Oncol. 2022 Apr;6(1):e2100463. doi: 10.1200/PO.21.00463.

Reference Type DERIVED
PMID: 35476550 (View on PubMed)

Other Identifiers

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P0339 NBRST Registry

Identifier Type: -

Identifier Source: org_study_id

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